Parts of Medicare
Hospital and SNF's
What is Part A?
What is needed to create case for Medicaid load?
Medicaid Product Attachment
What is Attachment A?
FQHC
What is a Federally Qualified Health Center?
Demonstrating integrity, honesty, and vulnerability to build strong relationships.
What is Trust?
Doctor Visits, Ambulance & DME
What is Part B?
5 Calendar Days
How much time to get a welcome letter out?
Commercial
What is Attachment D?
LMFT
What is a Licensed Family and Marriage Therapist?
Approaching every interaction as an opportunity to learn.
RX's
What is Part D?
Roster_Prov_Name of Provider
What is Medicare naming convention?
90 days or 120 days
How much time typical contracts require for a termination notice?
PPA
What is Participating Provider Agreement?
Setting clear goals, being transparent about outcomes, and inviting feedback to foster growth.
What is Accountability?
Medicare Advantage
What is Part C?
Capitation Payments
What are set payments to providers PMPM regardless of how many services patient receives?
Medicare Product Attachment
PCT
What is the Provider Contract Transition?
Focusing our work through the lens of our mission.
What is Service?
Vision, Hearing & Dental
What is Part C?
National Recipracity
What is the Governing of Multiple Entities?
Does not contain rights, obligations & are not enforceable.
What are the Recitals?
PADDU
What is Preferred, Acceptable, Discouraged, Unacceptable 1 & Unacceptable 2?
Pushing past fear and uncertainty to make the best possible decisions.